Abstract
The records of 13 adult patients operated on for a choledochal cyst were reviewed. The cyst was saccular in 6 patients and fusiform in 7. A fusiform enlargement of the main intrahepatic ducts was associated in 5 cases. In 5 patients the pancreatico-biliary ductal union occurred at a high position, forming an abnormally long common terminal duct. 11 patients underwent an excision of the cyst with Roux-en-Y hepaticojejunostomy. Microscopically, the wall of the cyst consisted of fibrous tissue usually devoid of epithelium and muscle layer. Recovery was uneventfull with good late results in most patients. A precise knowledge of its radiological features is necessary to recognize this anomaly and manage it adequately.
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